Titre :
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Non-antibiotic treatment recommendations : delivery formats and implications for parent resistance. (2005)
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Auteurs :
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STIVERS (Tanya) : NLD. Max Planck Institute for Psycholinguistics. Language and Cognition Group. AH Nijmegen.
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 60, n° 5, 2005)
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Pagination :
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949-964
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Langues:
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Anglais
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Mots-clés :
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Médicament antibiotique
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Thérapeutique
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Recommandation
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Parent
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Refus soins
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Médicament
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Relation médecin malade
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Communication
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Enfant
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Homme
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Pédiatrie
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Nourrisson
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Soins
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Etats Unis
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Amérique
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Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS O61R0x08. Diffusion soumise à autorisation]. This study draws on a database of 570 community-based acute pediatric encounters in the USA and uses conversation analysis as a methodology to identify two formats physicians use to recommend non-antibiotic treatment in acute pediatric care (using a subset of 309 cases) : recommendations for particular treatment (e.g., "I'm gonna give her some cough medicine.") and recommendations against particular treatment (e.g., "She doesn't need any antibiotics."). The findings are that the presentation of a specific affirmative recommendation for treatment is less likely to engender parent resistance to a non-antibiotic treatment recommendation than a recommendation against particular treatment even if the physician later offers a recommendation for particular treatment. It is suggested that physicians who provide a specific positive treatment recommendation followed by a negative recommendation are most likely to attain parent alignment and acceptance when recommending a non-antibiotic treatment for a viral upper respiratory illness.
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